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General NPI Number Information
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NPI Number | 1558618975
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Entity Type | Individual
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Provider Name | HEATHER MARIE MCLANE PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/06/2012
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 240 HOSPITAL PL STE 104
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City | SOLDOTNA
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State | AK
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Zip | 99669-7559
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Country | US
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Telephone | 77-145-7709
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Fax | 888-385-3430
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Provider Business Mailing Address
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Address Line | 250 HOSPITAL PL
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City | SOLDOTNA
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State | AK
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Zip | 99669-7559
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Country | US
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Telephone |
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Fax | 907-262-5191
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 11216
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 241838
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License Number State | AK
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